[Primary Salmonella vascular graft infection and conservative treatment].
The authors report an unusual case of prosthetic vascular graft infection due to Salmonellatyphimurium. The initial treatment combined antibiotherapy and surgical replacement of the arteriovenous graft. The infection relapsed within 6 weeks and was successfully treated with antibiotics only. Five cases of vascular graft infection due to Salmonella have been reported so far, but only one occurred in a previously healthy man and was not related to local infection, but to bacteremic seeding. Specific features of vascular graft infection and importance of prevention are discussed.
Béraud
G
G
Unité de maladies infectieuses, CHRU Huriez 5E, 2, avenue Oscar-Lambret, 59037 Lille cedex, France. gberaud@hotmail.com
Iba Ba
J
J
Legout
L
L
Senneville
E
E
Yazdanpanah
Y
Y
Mouton
Y
Y
D000368:Aged; D000583:Amikacin / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects* / Q000382:microbiology; D002439:Cefotaxime / Q000008:administration & dosage / Q000627:therapeutic use; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D020878:Device Removal; D004359:Drug Therapy, Combination; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D015242:Ofloxacin / Q000008:administration & dosage / Q000627:therapeutic use; D010068:Oxacillin / Q000008:administration & dosage / Q000627:therapeutic use; D011150:Popliteal Artery / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012008:Recurrence; D012480:Salmonella Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D012486:Salmonella typhimurium / Q000302:isolation & purification*; D012772:Shock, Septic / Q000209:etiology
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D000583:Amikacin; D015242:Ofloxacin; D002439:Cefotaxime; D010068:Oxacillin